If you want to take a relaxing vacation this summer, go to Hawaii. But stay away from West Virginia! According to a new Gallup poll, those two states ranked as the least and most stressful places to live.

Time.com writer Erica Ho reports on the annual Gallup-Healthways Well-Being Index survey. That report tracks the stress levels of Americans living in all 50 states.

Over 350,000 people were interviewed over the course of a year and were asked to answer the question: “Did you feel stressed during a lot of the day yesterday?”

West Virginians felt the most stressed, with 47.1% answering “yes”.

Rhode Island, Kentucky, Utah and Massachusetts didn’t fare much better, coming in right behind. Interestingly, West Virginia, Kentucky and Utah have ranked in the top five consistently for the past five years, though it is unclear why.

According to the survey, stress levels overall did not change much in 2012 compared with 2011. The Northeast and Midwest consistently reported the highest levels of stress than other regions of the United States, with a few exceptions.

Less-stressed states tended to report more ‘enjoyment’ in comparison to the most-stressed states.

The states rated “least stressful” were Hawaii, Louisiana, Mississippi, Iowa, and Wyoming.

By the way, if you’re planning a vacation this summer, make this little note to self. Changing travel plans is getting more expensive on US Airways and United. US Airways has increased the fee for changing a flight from 150-dollars to 200-dollars for domestic flights. That matches the fee hike United put in place a couple weeks ago.